| 5th Avenue Dental | |
|
1230 S 5th Ave Lebanon PA 17042-7814 | |
| (717) 272-9552 | |
| (717) 272-9545 |
| Full Name | 5th Avenue Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1230 S 5th Ave, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Gregory V Arnold (DENTIST) |
| Authorized Official Contact | 7172729552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5th Avenue Dental 1230 S 5th Ave Lebanon PA 17042-7814 Ph: (717) 272-9552 | 5th Avenue Dental 1230 S 5th Ave Lebanon PA 17042-7814 Ph: (717) 272-9552 |
| NPI Number | 1194115121 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194115121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS019581L (Pennsylvania) | Primary |
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